Obituaries

Elsa Stossel
B: 1929-07-23
D: 2025-12-09
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Stossel, Elsa
Douglas Story
B: 1938-12-21
D: 2025-12-08
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Story, Douglas
Eleanor Hunt
B: 1930-06-13
D: 2025-12-08
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Hunt, Eleanor
Vanessa Anderson
B: 1987-07-27
D: 2025-12-07
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Anderson, Vanessa
Jeffrey Del Bene
B: 1958-03-21
D: 2025-12-06
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Del Bene, Jeffrey
Dr. Kenneth Glatt, PhD, ABPP
B: 1943-05-25
D: 2025-12-06
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Glatt, PhD, ABPP, Dr. Kenneth
Alan Goerlick
B: 1936-05-31
D: 2025-12-05
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Goerlick, Alan
Mario Gioja
B: 1929-04-30
D: 2025-12-05
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Gioja, Mario
Anthony Romano
B: 1945-09-13
D: 2025-12-04
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Romano, Anthony
Carol Werber
B: 1943-05-30
D: 2025-12-04
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Werber, Carol
Lillian Dunn
B: 1928-01-16
D: 2025-12-02
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Dunn, Lillian
Dorothy Drusik
B: 1935-10-27
D: 2025-12-02
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Drusik, Dorothy
Maryanne Schulhoff
B: 1942-01-24
D: 2025-12-02
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Schulhoff, Maryanne
Ilda Miranda
B: 1939-05-01
D: 2025-12-02
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Miranda, Ilda
Peter Fasce
B: 1967-07-10
D: 2025-12-01
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Fasce, Peter
James Fuhrer
B: 1932-09-13
D: 2025-11-29
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Fuhrer, James
Donald Pagano
B: 1951-11-29
D: 2025-11-29
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Pagano, Donald
Angelo Ferrara
B: 1928-02-09
D: 2025-11-28
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Ferrara, Angelo
Bryson Campbell
B: 1975-02-04
D: 2025-11-28
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Campbell, Bryson
Ryan Nichols
B: 2000-04-28
D: 2025-11-28
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Nichols, Ryan
James Conroy
B: 1933-05-23
D: 2025-11-27
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Conroy, James

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895 Route 82
P.O. Box A
Hopewell Junction, NY 12533
Phone: 845-221-2000
Fax: 845-227-1862

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

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Please place my information on file


 

 

 

 

 

 

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